Cosmetic/Plastic Surgeon, Aurangabad
•
28 years experience
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Which types of scars can be treated with scar revision?
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A scar revision surgery can treat all these kinds of scars. There are different options for treatment depending on the type and extent of scars. The plastic surgeon may opt for skin grafting, flap surgery, tissue expansion, dermabrasion, scar excision, laser surgery etc. to treat a scar. In the case of flaps & skin graft, the surgeon harvests skin specific areas of the body and transplants them in intended areas. Some scar revision surgeries can also help to improve functionality while improving cosmetic appeal. All scars gradually fade and become less noticeable with time. This is why it is important for the patient to wait for some time before taking a decision about scar surgery.
The objective of scar revision surgery is to remove the scar.
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The objective of scar revision surgery is not always to remove scars. In fact, every kind of scar cannot be removed. The goal of scar revision surgery is to make the scar less and less visible and to blend it with the surroundings. Though most scars can be revised & improved, not all of them can be completely removed.
What is the best scar revision procedure for keloids or hypertrophic scars?
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Keloid scars stick out like obstinate structures beyond the borders of the actual wound. Hypertrophic scars look similar, but they are confined within the boundaries of the wound. To remove them, plastic surgeons mostly use corticosteroid injections at the wound site. However, this is more effective before the keloid scar has become established. If done later, in some cases, these might prove to be ineffective in successfully removing the scars.
There are changes in skin colour after scar revision surgery.
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As wounds heal, patients may notice colour changes in the scar revision area. There may be changes in appearance as well as feeling the skin at the site of surgery. Patients may also notice itching, numbness and tingling at the site. However, this is not abnormal. These are commonly experienced by patients after undergoing a scar revision surgery. These feelings will improve gradually over a period of time.
What are the processes involved in hypertrophic scar revision?
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The plastic surgeon may first attempt to he level the scar to begin with using different creams, gels, silicon gel sheets, tapes etc. Sun screen lotions are advised to reduce the ability of skin to produce pigments on the scar. The next stage of treatment involves injections to flatten the scar. After that if required , the plastic surgeon might decide to go for the surgery.
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